• Muhammad Ali

• Jawad Hameed

• Muhammad Hamza Zia

• Raja Adil Masood

• Aamir Shahzad

تلخیص

Objective: To assess patientcompliance in systemic hypertension and to identifythe causes of non-compliance. Study Design: A descriptive observational study. Place and Duration Of Study: The study was conducted in the Department Of Medicine Unit I and Unit II at Pakistan Railway Hospital , Rawalpindi, for 1 month from of SeptemtM, 2012 to of October, 2012. Materials and Methods: Semi structured interviews of 32 patients with primary hygMtension who were in medical ward were done along with their blood gressurc readings and their compliance was assessed. Morisky 8-item rnedication adherence questionnaire' was used to assess the adherence to ant-hypertensive medication. Scores of less than 3 out Of 8 were termed as compliant While scores Of 3 or more were termed as non-compliant. Non-compliance was defined as missing at least two days of medications per week. This definition was arrived at from the general understanding that a minimum compliance of 80% is to achieve an adequate reduction in blood pressure in the treatment of hypertension.' Results: Among 32 patients, 18 were male while 14 were female with mean age of 56 years. Twenty six out of thirty two (8125%) patients did not cornply with their antihypertensive medications. In majority of the patients (42.3%), misperception about disease and management due to inadequate education by health care providers was found to be the cause of non-cnrnpliance. Other causes were considering medication unnecessary (15.3%) or ineffective (11.5%), forgetting to take them regularly (11.5%), unaffordable drug prices (11.5%) and unpleasant side effects (7.7%). Conclusion: Patients compliance in hypertension was sub-optimal and misperceptions of the disease and its management seemed to play a major role for non-compliance. Physician-patient relationship, effective communication and better understanding of the disease can result in adequate control of hypertension and its complications.

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